| NPI | 1215102116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN DELAP Business Manager 248-625-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301040083) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |